Which product best fits your company or client needs?
Choice
Product Features
Are there co-payments?
Are There deductibles?
Can I use this with a healthcare spending account?
Product Advantages
AvMed Choice
Services from
providers in and out of the plan network are covered (in-network
services are less expensive)
Some plans have co-payments, others require members to pay a percentage of their costs, and some have both
Plans have deductibles that apply toward select services that are in-network
Yes, a Health Reimbursement Arrangement (HRA) can be paired with any Choice plan that has a deductible
Plans allow
members to go to any provider with no limitation to using AvMed
network providers
HMO
Product Features
Are there co-payments?
Are There deductibles?
Can I use this with a healthcare spending account?
Product Advantages
AvMed Open Access HMO
No Primary Care Physician (PCP) designation required Self-refer to specialist physicians Must use AvMed's network of providers
Includes co-payments that vary according to plan and service
Some plans include deductibles and coinsurance for select services
Yes, a Health Reimbursement Arrangement (HRA) can be paired with any HMO plan that has a deductible
Network of quality physicians and hospitals for members to choose from to receive covered services
AvMed Classic HMO
"Gatekeeper" plan that requires members to designate a Primary Care Physician (PCP) Referrals to network specialists must be given to the member by their PCP
Includes co-payments that vary according to plan and service
Some plans
include deductibles and coinsurance for select services
Yes, a Health Reimbursement Arrangement (HRA) can be paired with any HMO plan that has a deductible
Members will have a Primary Care Physician (PCP) that will act as a care coordinator Network of quality physicians and hospitals for members to choose from to receive covered services
POS
Product Features
Are there co-payments?
Are There deductibles?
Can I use this with a healthcare spending account?
Product Advantages
AvMed Open Access POS
Services from
providers in and out of the plan network are covered (in-network
services being less costly) No referral plan
where members self-refer to specialist physicians
These plans have co-payments for in-network benefits, and co-insurance for out-of-network benefits
Plans have deductibles that apply toward the in-network benefits
Spending accounts are not offered with AvMed's POS plans
POS plans allow members to go to any provider with no limitation to in-network
AvMed Classic POS
"Gatekeeper" plan that requires members to designate a Primary Care Physician (PCP) Referrals to network specialists must be given to the member by their PCP Out-of-network services available
These plans have co-payments for in-network benefits, and co-insurance for out-of-network benefits
Plans have deductibles that apply toward the in-network benefits
Spending accounts are not offered with AvMed's POS plans
Members will have a Primary Care Physician (PCP) that will act as a care coordinator Network of quality physicians and hospitals for members to choose from to receive covered services
Consumer
Solutions
Product Features
Are there co-payments?
Are There deductibles?
Can I use this with a healthcare spending account?
Product Advantages
AvMed Consumer HSA
HDHP with one deductible that combines healthcare and prescription drug expenses Designed to be paired with a Health Savings Account (HSA) healthcare fund
Members pay all expenses until they reach the deductible Preventive services are covered at 100% before deductible is met
HDHP plans have a minimum deductible of $1,100 for single coverage and $2,200 for family coverage (set by the IRS) Deductible includes medical and pharmacy expenses
Health Savings Account (HSA) can be opened to fund eligible healthcare expenses
Lower premiums Preventive services covered at 100% Product can be paired with a healthcare spending account
AvMed Consumer HRA
Consumer-directed health plan with any deductible Designed to be paired with a Health Reimbursement Arrangement (HRA) healthcare fund AvMed allows you to pair any plan with a deductible with an HRA
Members pay all expenses until they reach the deductible Preventive services are covered at 100% before deductible is met (may not apply)
Plans have deductibles that apply toward select services (that are in-network for Choice plan design)
Members do have access to a Health Reimbursement Arrangement (HRA) for eligible healthcare expenses
Lower premiums (may not apply) Preventive services covered at 100% (may not apply) Product can be paired with a healthcare spending account
AvMed Consumer FSA
Consumer-directed health plan with any deductible Designed to be paired with a Health Reimbursement Arrangement (HRA) healthcare fund AvMed allows you to pair any plan with a deductible with an HRA
Members pay all expenses until they reach the deductible Preventive services are covered at 100% before deductible is met (may not apply)
Plans have deductibles that apply toward select services (that are in-network for Choice plan design)
Members do have access to a Flexible Spending Account (FSA) for eligible healthcare expenses
Lower premiums (may not apply) Preventive services covered at 100% (may not apply) Product can be paired with a healthcare spending account
Please contact your Sales Representative for further information on specific Large Group plans.